← Trials/Trial dossier/NCT01064687

AWARD-1

CompletedPhase 3Results posted

A Study in Participants With Type 2 Diabetes Mellitus

A Randomized, Placebo-Controlled Comparison of the Effects of Two Doses of LY2189265 or Exenatide on Glycemic Control in Patients With Type 2 Diabetes on Stable Doses of Metformin and Pioglitazone (AWARD-1: Assessment of Weekly Administration of LY2189265 in Diabetes-1)

Assets

Dulaglutide / Exenatide

Listed sites

89

Recruiting sites

Enrollment

978

actual

Study population

Type 2 diabetes

Key I/E criteria

BMI 23-45HbA1c ≥7%

Primary endpoint

HbA1c, change

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT01064687
Org study ID11373
Secondary IDH9X-MC-GBDAEli Lilly and Company

Timeline

Milestones

Study first posted2010-02-08estimated
Last update posted2015-01-26estimated
Results first posted2015-01-26estimated
Study start2010-02 (month precision)
Primary completion2011-11actual (month precision)
Study completion2012-05actual (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Type 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Type 2 Diabetes (T2D) not well controlled on 1, 2, or 3 oral antidiabetic medications

1. Glycosylated hemoglobin (HbA1c) greater than or equal to 7 and less than or equal to 11 if taking 1 oral antidiabetic medication

2. HbA1c greater than or equal to 7 and less than or equal to 10 if on 2 or 3 oral antidiabetic medications

Able to tolerate minimum dose of 1500 milligrams (mg) metformin a day and 30 mg pioglitazone per day.
Willing to inject subcutaneous (SC) medication up to 2 times per day
Stable weight for 3 months prior to screening
Body mass index (BMI) between 23 and 45 kilograms per meter squared (kg/m^2)
Females of child bearing potential must test negative for pregnancy at screening by serum pregnancy test and be willing to use a reliable method of birth control during the study and for 1 month following the last dose of study drug.

Exclusion criteria

Type 1 Diabetes
HbA1c equal to or less than 6.5 before randomization or at randomization
Chronic insulin use
Taking drugs to promote weight loss by prescription or over the counter
Taking systemic steroids for greater than 14 days except for topical, eye, nasal, or inhaled
History of fluid retention or edema
History of Heart Failure New York Heart Classification II, III, or IV or acute myocardial infarction or stroke within 2 months of screening
Gastrointestinal (GI; stomach) problems such as diabetic gastroparesis or bariatric surgery (stomach stapling) or chronically taking drugs that directly affect GI motility
Hepatitis or liver disease or alanine transaminase (ALT) greater than 2.5 times the upper limit of normal
Acute or chronic pancreatitis of any form
Renal disease (kidney) with a serum creatinine of greater than or equal to 1.5 milligrams per deciliter (mg/dL) for males and greater than or equal to 1.4 mg/dL for females, or a creatine clearance of less than 60 milliliters per minute (mL/min)
History (includes family) of type 2A or 2B Multiple Endocrine Neoplasia (MEN 2A or 2B) or medullary c-cell hyperplasia or thyroid cancer
A serum calcitonin greater than or equal to 20 picograms per milliliter (pg/mL) at screening
Significant active autoimmune disease such as Lupus or Rheumatoid Arthritis
History of or active malignancy except skin or in situ cervical or prostate cancer for within last 5 years
Sickle cell, hemolytic anemia, or other hematological condition that may interfere with HbA1c testing
Organ transplant except cornea
Have enrolled in another clinical trial within the last 30 days
Have previously signed an informed consent or participated in a LY2189265 (dulaglutide) study
Have taken a glucagon-like peptide 1 (GLP-1) receptor agonist within the 3 months prior to screening

Endpoints (94)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Safety / tolerability / PK
38
Glycemic / diabetes
20
Patient-reported / QoL
16
Weight & body composition
8
Cardiometabolic biomarkers
8
Cardiovascular outcomes
2
Heart failure
2

Cardiovascular outcomes

2 endpoints
Secondary/registry result

Number of Participants With Adjudicated Cardiovascular Events at 52 Weeks

Time frame:Baseline through 52 weeks

Expanded / custom MACE composite

composite event, event

componentsAll-cause death, Myocardial infarction (any), Unstable angina hospitalization, Heart-failure hospitalization, Coronary revascularization, Stroke (any)

Posted result

GroupValue (number), participants95% CI
1.5 mg LY2189265Any CV Event3
Any Fatal Event1
Any Non-fatal CV Event3
0.75 mg LY2189265Any CV Event2
Any Fatal Event0
Any Non-fatal CV Event2
ExenatideAny CV Event2
Any Fatal Event0
Any Non-fatal CV Event2
Secondary/protocol endpoint

Number of Participants With Adjudicated Cardiovascular Events at 52 Weeks

Time frame:Baseline through 52 weeks

Expanded / custom MACE composite

event count, event

componentsMyocardial infarction (any), Unstable angina hospitalization, Heart-failure hospitalization, Coronary revascularization, Stroke (any), All-cause death

Weight & body composition

8 endpoints
Secondary/registry result

Change From Baseline to 26 Weeks for Body Weight

Time frame:Baseline, 26 weeks

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kilograms (kg)95% CI
1.5 mg LY2189265-1.34
0.75 mg LY21892650.18
Exenatide-1.14
Placebo1.37
LS Mean Difference-2.7295% CI-3.58-1.85p<0.001Mixed Models Analysis
LS Mean Difference-0.2095% CI-0.880.49p0.571Mixed Models Analysis
LS Mean Difference-1.1995% CI-2.06-0.33p0.007Mixed Models Analysis
LS Mean Difference1.3395% CI0.642.01p<0.001Mixed Models Analysis
LS Mean Difference-2.5295% CI-3.39-1.65p<0.001Mixed Models Analysis
Secondary/registry result

Change From Baseline to 52 Weeks for Body Weight

Time frame:Baseline, 52 weeks

Body weight, absolute change (kg)

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kilograms (kg)95% CI
1.5 mg LY2189265-1.08
0.75 mg LY21892650.49
Exenatide-0.76
LS Mean Difference-0.3295% CI-1.250.62p0.507Mixed Models Analysis
LS Mean Difference1.2595% CI0.322.19p0.009Mixed Models Analysis
Secondary/registry result

Change From Baseline to 26 Weeks on Body Mass Index (BMI)

Time frame:Baseline, 26 weeks

BMI, change

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kilograms per meter squared (kg/m^2)95% CI
1.5 mg LY2189265-0.48
0.75 mg LY21892650.07
Exenatide-0.41
Placebo0.49
LS Means Difference-0.9795% CI-1.27-0.67p<0.001Mixed Models Analysis
LS Mean Difference-0.0795% CI-0.310.17p0.568Mixed Models Analysis
LS Mean Difference-0.4295% CI-0.72-0.12p0.006Mixed Models Analysis
LS Mean Difference0.4895% CI0.240.71p<0.001Mixed Models Analysis
LS Mean Difference-0.9095% CI-1.20-0.60p<0.001Mixed Models Analysis
Secondary/registry result

Change From Baseline to 52 Weeks on Body Mass Index (BMI)

Time frame:Baseline, 52 weeks

BMI, change

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kilograms per meter squared (kg/m^2)95% CI
1.5 mg LY2189265-0.37
0.75 mg LY21892650.18
Exenatide-0.28
LS Mean Difference-0.0995% CI-0.420.23p0.580Mixed Models Analysis
LS Mean Difference0.4695% CI0.140.79p0.005Mixed Models Analysis
Secondary/protocol endpoint

Change From Baseline to 26 Weeks for Body Weight

Time frame:Baseline, 26 weeks

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 52 Weeks for Body Weight

Time frame:Baseline, 52 weeks

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 26 Weeks on Body Mass Index (BMI)

Time frame:Baseline, 26 weeks

BMI, change

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 52 Weeks on Body Mass Index (BMI)

Time frame:Baseline, 52 weeks

BMI, change

change from baseline, improvement

Glycemic / diabetes

20 endpoints
Primary/registry result

Change From Baseline to 26 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)

Time frame:Baseline, 26 weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (least_squares_mean), percentage of glycosylated hemoglobin95% CI
1.5 mg LY2189265-1.51
0.75 mg LY2189265-1.30
Exenatide-0.99
Placebo-0.46
LS Mean Difference-1.0595% CI-1.22-0.88p<0.001ANCOVA

Superiority analysis.

LS Mean Difference-0.5295% CI-0.66-0.39p<0.0001ANCOVA

Non-inferiority analysis.

LS Mean Difference-0.8495% CI-1.01-0.67p<0.001ANCOVA

Superiority analysis.

LS Mean Difference-0.5295% CI-0.66-0.39p<0.001ANCOVA

Superiority analysis.

LS Mean Difference-0.3195% CI-0.44-0.18p<0.001ANCOVA

Non-inferiority analysis.

LS Mean Difference-0.3195% CI-0.44-0.18p<0.001ANCOVA

Superiority analysis.

Primary/protocol endpoint

Change From Baseline to 26 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)

Time frame:Baseline, 26 weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/registry result

Change From Baseline to 52 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)

Time frame:Baseline, 52 weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Posted result

GroupValue (least_squares_mean), percentage of glycosylated hemoglobin95% CI
1.5 mg LY2189265-1.36
0.75 mg LY2189265-1.07
Exenatide-0.80
LS Mean Difference-0.5695% CI-0.73-0.39p<0.001ANCOVA

Non-inferiority analysis.

LS Mean Difference-0.2795% CI-0.44-0.11p<0.001ANCOVA

Non-inferiority analysis.

LS Mean Difference-0.5695% CI-0.73-0.39p<0.001ANCOVA

Superiority analysis.

LS Mean Difference-0.2795% CI-0.44-0.11p<0.001ANCOVA

Superiority analysis.

Secondary/registry result

Change From Baseline to 26 Weeks for Daily Mean Blood Glucose Values From the 8-point Self-monitored Plasma Glucose (SMPG) Profiles

Time frame:Baseline, 26 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), milligrams per deciliter (mg/dL)95% CI
1.5 mg LY2189265-46.82
0.75 mg LY2189265-42.09
Exenatide-37.48
Placebo-18.07
LS Mean Difference-28.7695% CI-34.50-23.02p<0.001Mixed Models Analysis
LS Mean Difference-9.3495% CI-13.62-5.06p<0.001Mixed Models Analysis
LS Mean Difference-24.0295% CI-29.80-18.24p<0.001Mixed Models Analysis
LS Mean Difference-4.6195% CI-8.95-0.27p0.038Mixed Models Analysis
LS Mean Difference-19.4195% CI-25.18-13.65p<0.001Mixed Models Analysis
Secondary/registry result

Change From Baseline to 52 Weeks for Daily Mean Blood Glucose Values From the 8-point Self-monitored Plasma Glucose (SMPG) Profiles

Time frame:Baseline, 52 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), milligrams per deciliter (mg/dL)95% CI
1.5 mg LY2189265-43.84
0.75 mg LY2189265-40.62
Exenatide-36.16
LS Mean Difference-7.6895% CI-12.84-2.52p0.004Mixed Models Analysis
LS Mean Difference-4.4795% CI-9.660.73p0.092Mixed Models Analysis
Secondary/registry result

Percentage of Participants Attaining Glycosylated Hemoglobin (HbA1c) Less Than 7% and Less Than or Equal to 6.5% at 26 Weeks

Time frame:Baseline, 26 weeks

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percentage of participants95% CI
1.5 mg LY2189265HbA1c Less Than 7%78.2
HbA1c Less Than or Equal to 6.5%62.7
0.75 mg LY2189265HbA1c Less Than 7%65.8
HbA1c Less Than or Equal to 6.5%53.2
ExenatideHbA1c Less Than 7%52.3
HbA1c Less Than or Equal to 6.5%38.0
PlaceboHbA1c Less Than 7%42.9
HbA1c Less Than or Equal to 6.5%24.4
Odds Ratio (OR)13.195% CI7.423.4p<0.001Regression, Logistic
Odds Ratio (OR)6.295% CI3.910.1p<0.001Regression, Logistic
Odds Ratio (OR)4.895% CI2.88.0p<0.001Regression, Logistic
Odds Ratio (OR)2.395% CI1.53.5p<0.001Regression, Logistic
Odds Ratio (OR)2.195% CI1.33.5p0.004Regression, Logistic
Odds Ratio (OR)11.895% CI6.720.8p<0.001Regression, Logistic
Odds Ratio (OR)4.495% CI2.96.8p<0.001Regression, Logistic
Odds Ratio (OR)6.395% CI3.710.9p<0.001Regression, Logistic
Odds Ratio (OR)2.495% CI1.63.5p<0.001Regression, Logistic
Odds Ratio (OR)2.795% CI1.64.6p<0.001Regression, Logistic
Secondary/registry result

Percentage of Participants Attaining Glycosylated Hemoglobin (HbA1c) Less Than 7% and Less Than or Equal to 6.5% at 52 Weeks

Time frame:Baseline, 52 weeks

HbA1c <7.0% achievement

threshold achievement, improvement

LOINC 4548-4

Posted result

GroupValue (number), percentage of participants95% CI
1.5 mg LY2189265HbA1c Less Than 7.0%70.8
HbA1c Less Than or Equal to 6.5%57.2
0.75 mg LY2189265HbA1c Less Than 7.0%59.1
HbA1c Less Than or Equal to 6.5%48.3
ExenatideHbA1c Less Than 7.0%49.2
HbA1c Less Than or Equal to 6.5%34.6
Odds Ratio (OR)3.795% CI2.45.6p<0.001Regression, Logistic
Odds Ratio (OR)1.795% CI1.12.5p0.008Regression, Logistic
Odds Ratio (OR)3.595% CI2.35.1p<0.001Regression, Logistic
Odds Ratio (OR)2.195% CI1.43.1p<0.001Regression, Logistic
Secondary/registry result

Change From Baseline to 26 Weeks in Updated Homeostasis Model Assessment of Beta-cell Function (HOMA2-%B) and Updated Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-%S)

Time frame:Baseline, 26 weeks

HOMA-IR (insulin sensitivity)

change from baseline, improvement

componentsHOMA-IR (insulin sensitivity)

Posted result

GroupValue (least_squares_mean), percentage of HOMA295% CI
1.5 mg LY2189265HOMA2-%B36.14
HOMA2-%S-3.14
0.75 mg LY2189265HOMA2-%B23.61
HOMA2-%S1.16
ExenatideHOMA2-%B15.02
HOMA2-%S-1.59
PlaceboHOMA2-%B0.93
HOMA2-%S2.56
LS Mean Difference35.2195% CI27.2643.16p<0.001Mixed Models Analysis
LS Mean Difference21.1295% CI14.9727.28p<0.001Mixed Models Analysis
LS Mean Difference22.6895% CI14.6330.72p<0.001Mixed Models Analysis
LS Mean Difference8.5995% CI2.3114.87p0.007Mixed Models Analysis
LS Mean Difference14.0995% CI6.0622.11p<0.001Mixed Models Analysis
LS Mean Difference-5.7095% CI-14.563.17p0.207Mixed Models Analysis
LS Mean Difference-1.5495% CI-8.415.32p0.659Mixed Models Analysis
LS Mean Difference-1.4095% CI-10.377.56p0.759Mixed Models Analysis
LS Mean Difference2.7595% CI-4.259.76p0.441Mixed Models Analysis
LS Mean Difference-4.1595% CI-13.104.79p0.362Mixed Models Analysis
Secondary/registry result/low confidence

Change From Baseline to 52 Weeks in Updated Homeostasis Model Assessment of Beta-cell Function (HOMA2-%B) and Updated Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-%S)

Time frame:Baseline, 52 weeks

HOMA-IR (insulin sensitivity)

change from baseline, improvement

componentsHOMA-IR (insulin sensitivity), C-peptide AUC

Posted result

GroupValue (least_squares_mean), percentage of HOMA295% CI
1.5 mg LY2189265HOMA2-%B35.21
HOMA2-%S-7.48
0.75 mg LY2189265HOMA2-%B25.69
HOMA2-%S-5.49
ExenatideHOMA2-%B13.57
HOMA2-%S-3.75
LS Mean Difference21.6495% CI15.2028.08p<0.001Mixed Models Analysis
LS Mean Difference12.1295% CI5.5618.68p<0.001Mixed Models Analysis
LS Mean Difference-3.7395% CI-10.903.43p0.307Mixed Models Analysis
LS Mean Difference-1.7595% CI-9.055.55p0.638Mixed Models Analysis
Secondary/registry result

Number of Participants Requiring Rescue Therapy Due to Hyperglycemia at 26 Weeks

Time frame:Baseline through 26 weeks

event count, event

Posted result

GroupValue (number), participants95% CI
1.5 mg LY21892654
0.75 mg LY218926514
Exenatide13
Placebo22
Secondary/registry result

Number of Participants Requiring Rescue Therapy Due to Hyperglycemia at 52 Weeks

Time frame:Baseline through 52 weeks

event count, event

Posted result

GroupValue (number), participants95% CI
1.5 mg LY218926510
0.75 mg LY218926527
Exenatide31
Secondary/protocol endpoint

Change From Baseline to 52 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)

Time frame:Baseline, 52 weeks

HbA1c, change

change from baseline, improvement

LOINC 4548-4

Secondary/protocol endpoint

Change From Baseline to 26 Weeks for Daily Mean Blood Glucose Values From the 8-point Self-monitored Plasma Glucose (SMPG) Profiles

Time frame:Baseline, 26 weeks

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 52 Weeks for Daily Mean Blood Glucose Values From the 8-point Self-monitored Plasma Glucose (SMPG) Profiles

Time frame:Baseline, 52 weeks

change from baseline, improvement

Secondary/protocol endpoint

Percentage of Participants Attaining Glycosylated Hemoglobin (HbA1c) Less Than 7% and Less Than or Equal to 6.5% at 26 Weeks

Time frame:Baseline, 26 weeks

HbA1c <7.0% achievement

threshold achievement, improvement

componentsHbA1c <7.0% achievement, HbA1c <6.5% achievement

LOINC 4548-4

Secondary/protocol endpoint

Percentage of Participants Attaining Glycosylated Hemoglobin (HbA1c) Less Than 7% and Less Than or Equal to 6.5% at 52 Weeks

Time frame:Baseline, 52 weeks

HbA1c <7.0% achievement

threshold achievement, improvement

componentsHbA1c <7.0% achievement, HbA1c <6.5% achievement

LOINC 4548-4

Secondary/protocol endpoint/low confidence

Change From Baseline to 26 Weeks in Updated Homeostasis Model Assessment of Beta-cell Function (HOMA2-%B) and Updated Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-%S)

Time frame:Baseline, 26 weeks

HOMA-IR (insulin sensitivity)

change from baseline, improvement

componentsHOMA-IR (insulin sensitivity), C-peptide AUC

Secondary/protocol endpoint

Change From Baseline to 52 Weeks in Updated Homeostasis Model Assessment of Beta-cell Function (HOMA2-%B) and Updated Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-%S)

Time frame:Baseline, 52 weeks

HOMA-IR (insulin sensitivity)

change from baseline, improvement

componentsHOMA-IR (insulin sensitivity)

Secondary/protocol endpoint

Number of Participants Requiring Rescue Therapy Due to Hyperglycemia at 26 Weeks

Time frame:Baseline through 26 weeks

time to event, event

Secondary/protocol endpoint

Number of Participants Requiring Rescue Therapy Due to Hyperglycemia at 52 Weeks

Time frame:Baseline through 52 weeks

time to event, event

Heart failure

2 endpoints
Secondary/registry result

Change From Baseline to 26 Weeks in N Terminal Pro Brain Natriuretic Peptide (NT-proBNP)

Time frame:Baseline, 26 weeks

NT-proBNP, change

change from baseline, improvement

Posted result

GroupValue (median), picograms per milliliter (pg/mL)95% CI
1.5 mg LY2189265-6.77-30.45 – 15.22
0.75 mg LY2189265-2.96-22.83 – 19.45
Exenatide-3.38-31.29 – 18.61
Placebo-0.85-25.37 – 17.76
Secondary/protocol endpoint

Change From Baseline to 26 Weeks in N Terminal Pro Brain Natriuretic Peptide (NT-proBNP)

Time frame:Baseline, 26 weeks

NT-proBNP, change

change from baseline, improvement

Cardiometabolic biomarkers

8 endpoints
Secondary/registry result

Change in Baseline to 26 Weeks on Pulse Rate

Time frame:Baseline, 26 weeks

Heart rate, change

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), beats per minute (bpm)95% CI
1.5 mg LY21892652.80
0.75 mg LY21892652.80
Exenatide1.18
Placebo0.61
Secondary/registry result

Change in Baseline to 52 Weeks on Pulse Rate

Time frame:Baseline, 52 weeks

Heart rate, change

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), beats per minute (bpm)95% CI
1.5 mg LY21892651.68
0.75 mg LY21892651.56
Exenatide1.15
Secondary/registry result

Change From Baseline to 26 Weeks on Blood Pressure

Time frame:Baseline, 26 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), millimeters of mercury (mmHg)95% CI
1.5 mg LY2189265Seated SBP (n=263, 266, 259, 127)0.11
Seated DBP (n=263, 266, 259, 127)0.76
0.75 mg LY2189265Seated SBP (n=263, 266, 259, 127)-0.36
Seated DBP (n=263, 266, 259, 127)0.56
ExenatideSeated SBP (n=263, 266, 259, 127)0.06
Seated DBP (n=263, 266, 259, 127)-0.11
PlaceboSeated SBP (n=263, 266, 259, 127)3.40
Seated DBP (n=263, 266, 259, 127)1.25
Secondary/registry result

Change From Baseline to 52 Weeks on Blood Pressure

Time frame:Baseline, 52 weeks

change from baseline, improvement

Posted result

GroupValue (mean), millimeters of mercury (mmHg)95% CI
1.5 mg LY2189265Seated SBP (n=248, 256, 238)0.83
Seated DBP (n=248, 256, 238)0.89
0.75 mg LY2189265Seated SBP (n=248, 256, 238)1.62
Seated DBP (n=248, 256, 238)0.76
ExenatideSeated SBP (n=248, 256, 238)0.02
Seated DBP (n=248, 256, 238)0.02
Secondary/protocol endpoint

Change in Baseline to 26 Weeks on Pulse Rate

Time frame:Baseline, 26 weeks

Heart rate, change

change from baseline, improvement

Secondary/protocol endpoint

Change in Baseline to 52 Weeks on Pulse Rate

Time frame:Baseline, 52 weeks

Heart rate, change

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 26 Weeks on Blood Pressure

Time frame:Baseline, 26 weeks

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 52 Weeks on Blood Pressure

Time frame:Baseline, 52 weeks

change from baseline, improvement

Patient-reported / QoL

16 endpoints
Secondary/registry result

Change From Baseline to 26 Weeks in the EuroQol 5

Time frame:Baseline, 26 weeks

EQ-5D index

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scale95% CI
1.5 mg LY2189265VAS Health State Score (n=270, 267, 264, 119)4.50
EQ-5D UK (n=270, 266, 264, 119)0.01
0.75 mg LY2189265VAS Health State Score (n=270, 267, 264, 119)2.41
EQ-5D UK (n=270, 266, 264, 119)0.01
ExenatideVAS Health State Score (n=270, 267, 264, 119)3.94
EQ-5D UK (n=270, 266, 264, 119)0.00
PlaceboVAS Health State Score (n=270, 267, 264, 119)0.71
EQ-5D UK (n=270, 266, 264, 119)-0.00
Secondary/registry result

Change From Baseline to 52 Weeks in the EuroQol 5

Time frame:Baseline, 52 weeks

EQ-5D index

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scale95% CI
1.5 mg LY2189265VAS Health State Score (n=270, 267, 264)5.15
EQ-5D UK (n=270, 266, 264)0.02
0.75 mg LY2189265VAS Health State Score (n=270, 267, 264)3.52
EQ-5D UK (n=270, 266, 264)0.01
ExenatideVAS Health State Score (n=270, 267, 264)3.51
EQ-5D UK (n=270, 266, 264)-0.00
Secondary/registry result

Change From Baseline to 26 Weeks in the Diabetes Treatment Satisfaction Questionnaire Status (DTSQs) Version

Time frame:Baseline, 26 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scale95% CI
1.5 mg LY21892652.40
0.75 mg LY21892652.56
Exenatide0.85
Placebo0.49
Secondary/registry result

Change From Baseline to 52 Weeks in the Diabetes Treatment Satisfaction Questionnaire Status (DTSQs) and Change (DTSQc) Versions

Time frame:Baseline, 52 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scale95% CI
1.5 mg LY2189265DTSQs Treatment Satisfaction (n=270, 268, 266)2.05
DTSQc Treatment Satisfaction (n=249, 237, 226)15.36
0.75 mg LY2189265DTSQs Treatment Satisfaction (n=270, 268, 266)2.11
DTSQc Treatment Satisfaction (n=249, 237, 226)15.46
ExenatideDTSQs Treatment Satisfaction (n=270, 268, 266)0.69
DTSQc Treatment Satisfaction (n=249, 237, 226)14.01
Secondary/registry result

Change From Baseline to 26 Weeks in the Impact of Weight on Activities of Daily Living

Time frame:Baseline, 26 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scale95% CI
1.5 mg LY21892650.18
0.75 mg LY21892650.12
Exenatide0.47
Placebo0.03
Secondary/registry result

Change From Baseline to 52 Weeks in the Impact of Weight on Activities of Daily Living

Time frame:Baseline, 52 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scale95% CI
1.5 mg LY21892650.18
0.75 mg LY2189265-0.18
Exenatide0.35
Secondary/registry result

Change From Baseline to 26 Weeks on the Impact of Weight on Self-Perception

Time frame:Baseline, 26 weeks

IWQOL-Lite total

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scale95% CI
1.5 mg LY21892650.56
0.75 mg LY21892650.47
Exenatide0.46
Placebo0.45
Secondary/registry result

Change From Baseline to 52 Weeks on the Impact of Weight on Self-Perception

Time frame:Baseline, 52 weeks

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), units on a scale95% CI
1.5 mg LY21892650.50
0.75 mg LY21892650.47
Exenatide0.64
Secondary/protocol endpoint

Change From Baseline to 26 Weeks in the EuroQol 5

Time frame:Baseline, 26 weeks

EQ-5D index

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 52 Weeks in the EuroQol 5

Time frame:Baseline, 52 weeks

EQ-5D index

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 26 Weeks in the Diabetes Treatment Satisfaction Questionnaire Status (DTSQs) Version

Time frame:Baseline, 26 weeks

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 52 Weeks in the Diabetes Treatment Satisfaction Questionnaire Status (DTSQs) and Change (DTSQc) Versions

Time frame:Baseline, 52 weeks

PGI, change

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 26 Weeks in the Impact of Weight on Activities of Daily Living

Time frame:Baseline, 26 weeks

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 52 Weeks in the Impact of Weight on Activities of Daily Living

Time frame:Baseline, 52 weeks

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 26 Weeks on the Impact of Weight on Self-Perception

Time frame:Baseline, 26 weeks

IWQOL-Lite total

change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline to 52 Weeks on the Impact of Weight on Self-Perception

Time frame:Baseline, 52 weeks

change from baseline, improvement

Safety / tolerability / PK

38 endpoints
Secondary/registry result

Change From Baseline to 26 Weeks on Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval

Time frame:Baseline, 26 weeks

change from baseline, descriptive

componentsqtc f interval change, pr interval change

Posted result

GroupValue (least_squares_mean), milliseconds (msec)95% CI
1.5 mg LY2189265QTcF Interval (n=253, 260, 250, 120)-1.11
PR Interval (n=252, 259, 246, 116)2.35
0.75 mg LY2189265QTcF Interval (n=253, 260, 250, 120)0.91
PR Interval (n=252, 259, 246, 116)0.93
ExenatideQTcF Interval (n=253, 260, 250, 120)1.21
PR Interval (n=252, 259, 246, 116)1.01
PlaceboQTcF Interval (n=253, 260, 250, 120)1.32
PR Interval (n=252, 259, 246, 116)-1.83
Secondary/registry result

Change From Baseline to 52 Weeks on Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval

Time frame:Baseline, 52 weeks

change from baseline, descriptive

componentsqtc f interval, pr interval

Posted result

GroupValue (least_squares_mean), milliseconds (msec)95% CI
1.5 mg LY2189265QTcF Interval (n=239, 243, 226)1.28
PR Interval (n=237, 243, 220)2.57
0.75 mg LY2189265QTcF Interval (n=239, 243, 226)2.30
PR Interval (n=237, 243, 220)0.69
ExenatideQTcF Interval (n=239, 243, 226)2.52
PR Interval (n=237, 243, 220)-0.82
Secondary/registry result

Number of Participants With Adjudicated Pancreatitis at 26 Weeks

Time frame:Baseline through 26 weeks

Pancreatitis

event count, event

Posted result

GroupValue (number), participants95% CI
1.5 mg LY21892650
0.75 mg LY21892650
Exenatide0
Placebo0
Secondary/registry result

Number of Participants With Adjudicated Pancreatitis at 52 Weeks

Time frame:Baseline through 52 weeks

Pancreatitis

event count, event

Posted result

GroupValue (number), participants95% CI
1.5 mg LY21892651
0.75 mg LY21892650
Exenatide0
Placebo/1.5 mg LY21892650
Placebo/0.75 mg LY21892650
Secondary/registry result

Change From Baseline to 26 Weeks on Pancreatic Enzymes

Time frame:Baseline, 26 weeks

change from baseline, descriptive

Posted result

GroupValue (median), units per liter95% CI
1.5 mg LY2189265Amylase, Total (n=253, 253, 254, 127)12.50-3.57 – 28.85
Amylase, Pancreas-derived (n=237, 247, 246, 122)14.810.00 – 35.00
Lipase (n=198, 203, 222, 114)10.34-7.50 – 29.41
0.75 mg LY2189265Amylase, Total (n=253, 253, 254, 127)3.28-9.88 – 20.00
Amylase, Pancreas-derived (n=237, 247, 246, 122)10.34-5.88 – 26.67
Lipase (n=198, 203, 222, 114)0.00-15.91 – 23.08
ExenatideAmylase, Total (n=253, 253, 254, 127)5.56-9.52 – 18.46
Amylase, Pancreas-derived (n=237, 247, 246, 122)5.56-7.14 – 21.05
Lipase (n=198, 203, 222, 114)3.94-10.26 – 23.08
PlaceboAmylase, Total (n=253, 253, 254, 127)-3.33-15.79 – 11.36
Amylase, Pancreas-derived (n=237, 247, 246, 122)-3.77-13.33 – 13.64
Lipase (n=198, 203, 222, 114)-9.53-23.33 – 6.67
Secondary/registry result

Change From Baseline to 52 Weeks on Pancreatic Enzymes

Time frame:Baseline, 52 weeks

change from baseline, descriptive

Posted result

GroupValue (median), units per liter95% CI
1.5 mg LY2189265Amylase, Total (n=255, 263, 261)9.21-4.95 – 23.19
Amylase, Pancreas-derived (n=236, 253, 246)16.670.00 – 35.60
Lipase (n=201, 205, 221)5.45-7.69 – 26.92
0.75 mg LY2189265Amylase, Total (n=255, 263, 261)2.78-11.67 – 17.50
Amylase, Pancreas-derived (n=236, 253, 246)7.69-8.70 – 28.00
Lipase (n=201, 205, 221)0.00-18.18 – 15.63
ExenatideAmylase, Total (n=255, 263, 261)2.38-11.86 – 15.22
Amylase, Pancreas-derived (n=236, 253, 246)7.85-8.82 – 26.67
Lipase (n=201, 205, 221)3.57-13.95 – 22.58
Secondary/registry result

Change From Baseline to 26 Weeks on Serum Calcitonin

Time frame:Baseline, 26 weeks

Thyroid event

change from baseline, descriptive

Posted result

GroupValue (mean), picograms per milliliter (pg/mL)95% CI
1.5 mg LY21892650.20
0.75 mg LY21892650.22
Exenatide0.05
Placebo0.05
Secondary/registry result

Change From Baseline to 52 Weeks on Serum Calcitonin

Time frame:Baseline, 52 weeks

Thyroid event

change from baseline, descriptive

Posted result

GroupValue (mean), picograms per milliliter (pg/mL)95% CI
1.5 mg LY21892650.21
0.75 mg LY21892650.05
Exenatide0.10
Secondary/registry result

Number of Self-reported Hypoglycemic Events at 26 Weeks

Time frame:Baseline through 26 weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (number), events95% CI
1.5 mg LY2189265Severe HE0
Documented Symptomatic HE31
Asymptomatic HE26
Nocturnal HE9
Probable Symptomatic HE5
0.75 mg LY2189265Severe HE0
Documented Symptomatic HE25
Asymptomatic HE95
Nocturnal HE15
Probable Symptomatic HE16
ExenatideSevere HE1
Documented Symptomatic HE146
Asymptomatic HE51
Nocturnal HE31
Probable Symptomatic HE3
PlaceboSevere HE0
Documented Symptomatic HE4
Asymptomatic HE5
Nocturnal HE6
Probable Symptomatic HE3
Secondary/registry result

Number of Self-reported Hypoglycemic Events at 52 Weeks

Time frame:Baseline through 52 weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (number), events95% CI
1.5 mg LY2189265Severe HE0
Documented Symptomatic HE53
Asymptomatic HE47
Nocturnal HE20
Probable Symptomatic HE8
0.75 mg LY2189265Severe HE0
Documented Symptomatic HE39
Asymptomatic HE157
Nocturnal HE29
Probable Symptomatic HE22
ExenatideSevere HE2
Documented Symptomatic HE205
Asymptomatic HE98
Nocturnal HE57
Probable Symptomatic HE4
Secondary/registry result

Rate of Self-reported Hypoglycemic Events at 26 Weeks

Time frame:Baseline through 26 weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (mean), events per participant per year95% CI
1.5 mg LY2189265Severe HE0.00
Documented symptomatic HE0.22
Asymptomatic HE0.19
Nocturnal HE0.06
Probable symptomatic HE0.04
0.75 mg LY2189265Severe HE0.00
Documented symptomatic HE0.18
Asymptomatic HE0.69
Nocturnal HE0.19
Probable symptomatic HE0.24
ExenatideSevere HE0.01
Documented symptomatic HE1.07
Asymptomatic HE0.38
Nocturnal HE0.23
Probable symptomatic HE0.02
PlaceboSevere HE0.00
Documented symptomatic HE0.06
Asymptomatic HE0.27
Nocturnal HE0.27
Probable symptomatic HE0.04
Secondary/registry result

Rate of Self-reported Hypoglycemic Events at 52 Weeks

Time frame:Baseline through 52 weeks

Documented hypoglycemia

event count, event

Posted result

GroupValue (mean), events per participant per year95% CI
1.5 mg LY2189265Severe HE0.00
Documented symptomatic HE0.19
Asymptomatic HE0.17
Nocturnal HE0.07
Probable symptomatic HE0.03
0.75 mg LY2189265Severe HE0.00
Documented symptomatic HE0.14
Asymptomatic HE0.56
Nocturnal HE0.19
Probable symptomatic HE0.21
ExenatideSevere HE0.01
Documented symptomatic HE0.76
Asymptomatic HE0.37
Nocturnal HE0.21
Probable symptomatic HE0.02
Secondary/registry result

Number of Participants With LY2189265 Antibodies at 26 Weeks

Time frame:Baseline through 26 weeks

Immunogenicity (ADA)

threshold achievement, event

Posted result

GroupValue (number), participants95% CI
0.75 mg LY2189265 or 1.5 mg LY21892656
Exenatide12
Placebo2
Secondary/registry result

Number of Participants With LY2189265 Antibodies at 52 Weeks and 4 Weeks After Last Dose of Study Drug

Time frame:26 weeks through 52 weeks and 53 weeks through 4 weeks after last dose

Immunogenicity (ADA)

threshold achievement, event

Posted result

GroupValue (number), participants95% CI
0.75 mg LY2189265 or 1.5 mg LY218926552 weeks3
4 weeks after last study dose1
Exenatide52 weeks2
4 weeks after last study dose0
Placebo/0.75 mg LY2189265 or 1.5 mg LY218926552 weeks2
4 weeks after last study dose1
Secondary/registry result

Number of Participants With Treatment Emergent Adverse Events at 26 Weeks

Time frame:Baseline through 26 weeks

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (number), participants95% CI
1.5 mg LY2189265215
0.75 mg LY2189265199
Exenatide198
Placebo104
Secondary/registry result

Number of Participants With Treatment Emergent Adverse Events at 52 Weeks

Time frame:Baseline through 52 weeks

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (number), participants95% CI
1.5 mg LY2189265226
0.75 mg LY2189265220
Exenatide221
Placebo/1.5 mg LY218926547
Placebo/0.75 mg LY218926541
Secondary/registry result

Change From Baseline to 26 Weeks in Hematological and Biochemical Lab Values

Time frame:Baseline, 26 weeks

change from baseline, descriptive

Posted result

GroupValue (least_squares_mean)95% CI
1.5 mg LY2189265NA
0.75 mg LY2189265NA
ExenatideNA
PlaceboNA
Secondary/registry result

Change From Baseline to 52 Weeks in Hematological and Biochemical Lab Values

Time frame:Baseline, 52 weeks

change from baseline, descriptive

Posted result

GroupValue (least_squares_mean)95% CI
1.5 mg LY2189265NA
0.75 mg LY2189265NA
ExenatideNA
Secondary/registry result

Pharmacokinetics: Area Under the Concentration Curve (AUC) for LY2189265

Time frame:4 weeks, 13 weeks, 26 weeks, and 52 weeks

AUC₀–∞

concentration, descriptive

Posted result

GroupValue (mean), nanogram hours per milliliter (ng*hr/mL)95% CI
1.5 mg LY218926512383
0.75 mg LY21892656627
Secondary/protocol endpoint

Change From Baseline to 26 Weeks on Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval

Time frame:Baseline, 26 weeks

change from baseline, descriptive

Secondary/protocol endpoint

Change From Baseline to 52 Weeks on Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval

Time frame:Baseline, 52 weeks

change from baseline, descriptive

Secondary/protocol endpoint

Number of Participants With Adjudicated Pancreatitis at 26 Weeks

Time frame:Baseline through 26 weeks

Pancreatitis

event count, event

Secondary/protocol endpoint

Number of Participants With Adjudicated Pancreatitis at 52 Weeks

Time frame:Baseline through 52 weeks

Pancreatitis

event count, event

Secondary/protocol endpoint

Change From Baseline to 26 Weeks on Pancreatic Enzymes

Time frame:Baseline, 26 weeks

change from baseline, descriptive

Secondary/protocol endpoint

Change From Baseline to 52 Weeks on Pancreatic Enzymes

Time frame:Baseline, 52 weeks

change from baseline, descriptive

Secondary/protocol endpoint

Change From Baseline to 26 Weeks on Serum Calcitonin

Time frame:Baseline, 26 weeks

Thyroid event

change from baseline, descriptive

Secondary/protocol endpoint

Change From Baseline to 52 Weeks on Serum Calcitonin

Time frame:Baseline, 52 weeks

Thyroid event

change from baseline, event

Secondary/protocol endpoint

Number of Self-reported Hypoglycemic Events at 26 Weeks

Time frame:Baseline through 26 weeks

Documented hypoglycemia

event count, event

Secondary/protocol endpoint

Number of Self-reported Hypoglycemic Events at 52 Weeks

Time frame:Baseline through 52 weeks

Documented hypoglycemia

event count, event

Secondary/protocol endpoint

Rate of Self-reported Hypoglycemic Events at 26 Weeks

Time frame:Baseline through 26 weeks

event count, event

Secondary/protocol endpoint

Rate of Self-reported Hypoglycemic Events at 52 Weeks

Time frame:Baseline through 52 weeks

Documented hypoglycemia

event count, event

Secondary/protocol endpoint

Number of Participants With LY2189265 Antibodies at 26 Weeks

Time frame:Baseline through 26 weeks

Immunogenicity (ADA)

threshold achievement, event

Secondary/protocol endpoint

Number of Participants With LY2189265 Antibodies at 52 Weeks and 4 Weeks After Last Dose of Study Drug

Time frame:26 weeks through 52 weeks and 53 weeks through 4 weeks after last dose

Immunogenicity (ADA)

threshold achievement, event

Secondary/protocol endpoint

Number of Participants With Treatment Emergent Adverse Events at 26 Weeks

Time frame:Baseline through 26 weeks

Treatment-emergent AEs (any)

event count, event

Secondary/protocol endpoint

Number of Participants With Treatment Emergent Adverse Events at 52 Weeks

Time frame:Baseline through 52 weeks

Treatment-emergent AEs (any)

event count, event

Secondary/protocol endpoint

Change From Baseline to 26 Weeks in Hematological and Biochemical Lab Values

Time frame:Baseline, 26 weeks

descriptive

Secondary/protocol endpoint

Change From Baseline to 52 Weeks in Hematological and Biochemical Lab Values

Time frame:Baseline, 52 weeks

descriptive

Secondary/protocol endpoint

Pharmacokinetics: Area Under the Concentration Curve (AUC) for LY2189265

Time frame:4 weeks, 13 weeks, 26 weeks, and 52 weeks

AUC₀–∞

concentration, descriptive

Publications (3)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Registry references + supporting bibliography

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.